My 1 yo Pitbull pup decided, unbeknown to us, that eating underwear was the "cool thing to do"....that is until he woke up unable to keep food down. We took him to the ER, where we discovered his love of underwear after he vomited up a pair (oh buddy)....they took Xrays and did an ultrasound and determined he had a blockage. He had emergency surgery that night (enterotomy). We went from vomiting in the a.m. to surgery in the p.m. It was a sad state of affairs for us and we felt SO bad for him. BUT he recovered beautifully and Trupanion was SOOO helpful. They started working on his claim right away and kept me very informed on where the claim process was with daily emails. I even called one night, very late, and was able to talk to someone when I had questions. They are open 24 hours a day! How sweet is that?! 1 week post surgery, I had a check in my hand for 90% of my sweet boy's surgery cost. This could not be better timing as I didn't have an extra $2500 sitting around before Christmas. Needless to say, we now know that our Pitty is an under garment eater and we have baby gates up and all laundry is put in appropriate places....which has resulted in 2 young boys keeping their rooms clean! Extra bonus.